Let's take a look at the issues facing Zambia as well as some of its history. Time to dig into my notes from earlier this year when our office was looking into Zambia's situation.
Zambia faced a dearth of educated citizens to run the country after independence in 1964. Its infrastructure was in ruins or non-existent, and its economy, dependent on foreign expertise, was overly dependent on copper. When the price of copper plummeted from 1980, Zambia’s economy went into a tailspin, not seeing signs of recovery until the copper regained its historical real price in 2006. During this two and a half decade depression, the economy contracted by a third. Zambia took loans from foreign countries, the World Bank, and the International Monetary Fund with hopes of a rebound in the price of copper. As the depressed price lasted through the 1990s, Zambia experienced some of the highest levels of foreign debt per capita in the world, even after some level of debt relief.
In 1975, neighboring Angola and Mozambique gained independence and plunged into bloody civil wars. Zambia experienced waves of refugees fleeing some of the harshest violence the continent had seen. Concurrently, Zambia supported South Africa’s ANC movement. But this resulted in frequent raids from South Africa on ANC training camps located in Zambia.
Against this chaotic backdrop, we see the Zambian people struggling to improve their healthcare and education systems. Loss of teachers due to HIV/AIDS and a lack of proper infrastructure and materials has resulted in literacy rates amongh 15-24 year olds dropping from 79 in 1990 to 70 in 2004. Other statistics paint a rosier picture but must be contrasted with the falling literacy rate. Net erollment fell from 80 percent in 1990 to 76 percent in 2003 but then shot up to 97 percent just three years later. Percent of students reaching the seventh grade rose from 64 percent. in 1990 to 83 percent in 2006, with 79 percent of girls reaching that level and 91 percent of boys.
Health statistics, while some are improving, are still at abysmally poor levels. Infant mortality dropped from 107 per 1000 live births in 1992 to 70 in 2007. Under 5 mortality dropped from 191 deaths per 1000 to 119 over the same period. Maternal Mortality rose from 649 per 100,000 in 1996 to 729 in 2002 but then dropped to 449 in 2007. However, life expectancy overall fell from 50.18 in 1970 to 46.47 in 2008.
Public policy has failed in certain respects. The Millennium Development Progress Report blames the high levels of inequality (GINI rose from 48 in 1958 to 50.8 in 2004) on lacking or failed labor and wage policies. Neither nutrition policy nor economic safety nets are in place to fight the universal problems of malnutrition and poverty in general. Furthermore, any effective policies are mostly limited to urban areas, leaving rural areas without access to adequate schools, medical facilities, or skilled professionals of any kind, due to significant “brain drain.” Skilled physicians often resist rural work and not infrequently leave the country for more lucrative opportunities elsewhere. The percent of births attended by a skilled professional dropped from 51 in 1996 to 46 in 2007.
So to all of this, we now add corruption. We knew that it was rampant here already, but it is depressing to see it directly impeding aid to the country's struggling health care system.